Eduardo Jose Otero-Loperena, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301504574 Issued in MI

Practice address

13530 Michigan Ave Ste 110
Dearborn, MI 48126-3575

Phone

(313) 572-0810

Fax

(313) 572-0811

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Medical Center IncGroup PAC ID 8820469380, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Specialty Medical Center Inc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Dearborn, MI
  • NPI 1285341537
  Medicare reassignment Care Compare group
• Ayman Tarabishy MD PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Livonia, MI
  • NPI 1548624984

  Single Specialty

  Medicare reassignment NPD
• Martin Quiroga PC

  • Clinic/Center
  • Warren, MI
  • NPI 1174849988

  Single Specialty

  Medicare reassignment NPD
• Ayman Tarabishy MD PLLC

  • Durable Medical Equipment & Medical Supplies
  • Clinton Township, MI
  • NPI 1407586134
  NPD
• Specialty Medical Center Inc

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1366126559
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1871980953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 201A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-883-2495",
            "fax_number": "269-224-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 110",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263575",
            "telephone_number": "313-572-0810",
            "fax_number": "313-572-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 Capital Ave SW Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490157103",
            "country_code": "US",
            "telephone_number": "269-883-2495",
            "fax_number": "269-224-6185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO-LOPERENA",
        "first_name": "EDUARDO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301504574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayan Osman
• Amanda N Osorio Cooksy, LMSW
• Walid Aref Osta, M.D.
• Osteoporosis Treatment Centers of America, PC
• Udoka Osuoha
• Reem Othman
• Jessica L Ott, CPNP-PC
• Ottenbreit Psychotherapy Associates, LLC
• Bruce Dennis Ottenbreit, LMSW
• Otto Bock Patient Care, LLC

• Physical Medicine & Rehabilitation Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.